NPI | 1972896090 |
---|---|
Former Name | MARY-JOAN DEATON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 364SP0809X Clinical Nurse Specialist, Psych/Mental Health, Adult (Licence: MD R062724) |
Enumeration Date | 2011-05-23 |
Last Update Date | 2011-05-23 |